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<br /> W. D. Form S I500 J-I-1]C.P. ,�+ ���
<br /> CITY OF EVERETT==Water Department `y'���'� " � ;
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<br /> - ,$A� ,t ,e i
<br /> Application for Water o'�� r�u��;� ; :� �
<br /> All blanks must be tilled in or�.rossed nut �; .� ����'��� �'
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<br /> E.�««.- - -- 8 / 9 �;..
<br /> " '_" "_ . ' - -'191_.c�._._ i p .,_,�� `
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<br /> TOTHLSUPL•'RINTENDIiNTOFTNL'WATGRDEPARTTf1iN7'. �� � �_`.��, �'" '- "
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<br /> CI1'Y OF EVERE7'T: , - „�y s .�r y.
<br /> 1 hereby apply fnr the usc u(water in accordanm with thc rules and reguia- �, � " k -"�1�`-���
<br /> tinn+ot The Watcr Uepartm�nt, for purposes and fisWms stated brinw. + t�i�� �°+��'7i,, �
<br /> Dai inq th�• timr that nn}•o(ihc watcr mains may be taken up Ly reawn of � {.�{� -��::�`�
<br /> any improremenh� .,u14�nzi d by the Gty of Everelt,in nr of ,ny slrcrt nr ailey in a^� E '+*5- � �q
<br /> �chich they may h?v�h i �ud the Gty w�il nnt be required tn(urnish water durir{; '�'�, ;�"� p,
<br /> the prn�ress n!sud�improvorems tn any consumer xhose aipply may�hus be cut �d•'t�
<br /> olf,or be LahF:for any d m�y;es lur i4s (Tilure tin to do ��u g,,
<br /> ` �. �-±X(/ -`/naa---- --- — -- �tz� t � „'.
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<br /> APPliceti.m Vo._ . ��_ � � ,
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<br /> "1'he wnrk ln be execuled by_ __ __._.._ u;; .�} :' : �r
<br /> " - _:�'-�"--"-- Plumber , .,
<br /> �Sta e aizc o(tap. � �: �i�„� � S �, .'i ���
<br /> �-J-'-'---''r�p lo Ix�inserled in thc n�ain. �� e a w�y r �� ,t ,_�;F . .
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<br /> "'___. __1Vatcrduscl . ..�r , � , .
<br /> ._�"._..11ath 'J S``tt�`� . . ' . . � ..
<br /> .._ _._ .Urinal �Y,. . � \
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<br /> . __Plain fauccl insidc -� 1��\\
<br /> ..__"__Sidewalkwasher :�`J \ \\-�', �
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<br /> ___. . .Hoscb�bnulside ���! �����Cr ` /
<br /> .___ "_ Hosc Uib torbui�ding purpnses �\ �' . . - • �
<br /> - ___' "liosc bib mside �� �, J./� ���!�� ;W��+� :���� ,�
<br /> .___ " l3�bforvWblcrnntaimnK ---___slall. �=�t���� '���n��9 " �
<br /> ____ ._.NumbcratperumsinfamilY __ ' •if✓�"" �;���.
<br /> 'hq,,a a a^';�.
<br /> .-.--' --.Nmnbcr ut ronms in building , , s�'��
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<br /> The premises are to bc used �s a _..4�`-�-{-{�_o J �..._�"' _"... ',�$`�,�t,� .' ,
<br /> Thc owner uf the prem�,rs is _ _ . __._ � "��'�,
<br /> '!hc agcnl is "_ .. . _ . . _' - - %t: K� �. ' .
<br /> -_ " _. . . . ._. _ .. �
<br /> Thiv �pphcation, although signed,shall not br bindinK uM�n the City, untf�ao- t',� ��fT�v�
<br /> ccpted by The Sup^rinlendent o(tt�e 1Yn )rF• ��nenl, , i�f+°
<br /> /. '
<br /> Signed "1'�.�.'_.l��J�.J__ -__"_'_APPlicant . , .
<br /> Accepted�.-__/._/�'_ . __19v'/ 8r�j� I
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<br /> �� ' SupeNmanEent "
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